Fiscal Year 2019 CDC Funding Profile for American Indian and Alaska Native Tribes and Tribal Organizations

Center for State, Tribal, Local, and Territorial Support

Centers for Disease Control and Prevention

February 2020

CDC’s Center for State, Tribal, Local, and Territorial Support

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About the Funding Profile Data

Includes funding for the Centers for Disease Control and Prevention (CDC) and the Agency for Toxic Substances and Disease Registry (ATSDR)

Obligated* and provided to tribes and tribal organizations as primary grantees through cooperative agreements and grants in fiscal year (FY) 2019 (October 1, 2018–September 30, 2019)

Awarded to American Indian/Alaska Native (AI/AN) tribes or tribal organizations through contracts

*Obligated refers to new funding only (no funding carried over from a previous FY is included)

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About the Funding Profile Data (cont.)

Excludes

The value of vaccines purchased by CDC and delivered through the Vaccines for Children program

Any funds transferred to CDC or ATSDR from other federal agencies or entities (i.e., funds that are not part of CDC/ATSDR’s appropriations)

CDC FY 2019 Funding to Tribes and Tribal Organizations

*Notice of Funding Opportunity (NOFO)
|                                                             | FY 2016            | FY 2017           | FY 2018         | FY 2019         | +/- FY2018                                  |
|-------------------------------------------------------------|--------------------|-------------------|-----------------|-----------------|---------------------------------------------|
| All Funding (grants, cooperative agreements, and contracts) | $164,944,184       | $179,896,649      | $395,341,923    | $217,172,412    | -$178,169,511(Mainly decrease in contracts) |
| Cooperative Agreement and Grant Funding                     | $34,851,899        | $43,923,265       | $66,553,180     | $66,531,146     | -$22,034                                    |
| Contract Funding                                            | $130,092,285       | $135,973,384      | $328,788,743    | $150,641,266    | -$178,147,477                               |
| Number of Grantees Funded                                   | 56                 | 60                | 82              | 87              | +5                                          |
| Funding Mechanisms                                          | 12 NOFOs*; 1 grant | 10 NOFOs; 1 grant | 12 NOFOs1 grant | 13 NOFOs1 grant | +1 NOFO                                     |

CDC FY 2019 Grant and Cooperative Agreement Funding to Tribes and Tribal Organizations by Funding Center
| Funding CDC Center                                                    | Total FY 2019 Funding |
|-----------------------------------------------------------------------|-----------------------|
| Center for State, Tribal, Local, and Territorial Support              | $1,293,914            |
| National Center for Chronic Disease Prevention and Health Promotion   | $50,547,079           |
| National Center for Emerging and Zoonotic Infectious Diseases         | $217,822              |
| National Center for Environmental Health                              | $441,000              |
| National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention | $1,007,692            |
| National Center for Injury Prevention and Control                     | $12,863,639           |
| National Center for Immunization and Respiratory Diseases             | $60,000               |
| Office of the Associate Director for Strategy and Policy              | $100,000              |
| Grand Total                                                           | $66,531,146           |

CDC FY 2019 Funding to Tribal Grantees 		          by Funding Mechanism (1 of 2)
| Notice of Funding Opportunity or Grant                                                                                                                    | FY 2019 Funding |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| DP19-1903 Prevention and Public Health Fund (PPHF) 2014: A Comprehensive Approach to Good Health and Wellness in Indian Country (financed solely by PPHF) | $19,660,060     |
| DP15-1502: Organized Approaches to Increase Colorectal Cancer Screening                                                                                   | $732,400        |
| DP18-1813: Racial and Ethnic Approaches to Community Health (REACH) (PPHF)                                                                                | $792,000        |
| DP17-1701: Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations                                                        | $12,006,530     |
| DP17-1704: Building Public Health Infrastructure in Tribal Communities to Accelerate Disease Prevention and Health Promotion in Indian Country (PPHF)     | $10,045,002     |
| DP18-1816: Well Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN)                                                               | $1,710,000      |
| DP18-1808: Consortium of National Networks to Impact Populations Experiencing Tobacco-Related and Cancer Health Disparities                               | $500,000        |

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CDC FY 2019 Funding to Tribal Grantees 		              by Funding Mechanism (2 of 2)
| Notice of Funding Opportunity or Grant                                                                                                  | FY 2019 Funding |
|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------|
| DP18-1812: Tribal Practices for Wellness in Indian Country                                                                              | $5,186,089      |
| PS15-1502: Comprehensive High-Impact HIV Prevention Projects                                                                            | $695,198        |
| PS17-1707: Community Approaches to Reducing Sexually Transmitted Diseases                                                               | $312,494        |
| PS18-1807: Promoting Adolescent Health Through School-Based HIV Prevention                                                              | $12,000         |
| OT18-1802: Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health    | $2,005,000      |
| OT18-1803: Tribal Public Health Capacity Building and Quality Improvement                                                               | $12,780,459     |
| OT19-1902: PPHF 2018: Preventive Health and Health Services Block Grant—financed solely by the 2018 Prevention and Public Health Fund   | $93,914         |
| Grand Total                                                                                                                             | $66,531,146     |

CDC FY 2019 Additional Tribal Projects* (1 of 2)
| Funding CDC Center                                                  | Grantee**                                            | Project                                                                                      | Amount   |
|---------------------------------------------------------------------|------------------------------------------------------|----------------------------------------------------------------------------------------------|----------|
| National Center for Environmental Health                            | American Public Health Association                   | Tribal Environment Health (TEH) —A Capacity Building Initiative                              | $138,000 |
| National Center for Chronic Disease Prevention and Health Promotion | National Association of Chronic Disease Directors    | Capacity Building Training for Tribal and Territorial Cancer Prevention Programs             | $150,000 |
| National Center for Injury Prevention and Control                   | National Network of Public Health Institutes (NNPHI) | Opioid Overdose Prevention in Tribes:  Technical Assistance through Public Health Institutes | $500,000 |
| Center for State, Tribal, Local, and Territorial Support (CSTLTS)   | NNPHI                                                | Tribal Public Health Capacity Recipient Support                                              | $250,000 |
| CSTLTS                                                              | NNPHI                                                | Indigenous Social Determinants of Health                                                     | $100,000 |

*Tribal-focused projects not included in direct funding to tribes and tribal organizations

**Funding provided through “OT18-1802—Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health”

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CDC FY 2019 Additional Tribal Projects (2 of 2)*

*Tribal-focused projects not included in direct funding to tribes and tribal organizations

**Funding provided through a CDC Interagency Agreement with the Indian Health Service (includes administrative fees)
| Funding Center                                                                | Grantee**                                                                     | Project                                                                                | Amount     |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|----------------------------------------------------------------------------------------|------------|
| National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) | Albuquerque Area Indian Health Board’s Southwest Tribal Epidemiology Center   | Colorectal Cancer Screening among Diabetic American Indians and Alaska Natives Project | $150,000   |
| NCCDPHP                                                                       | Tribal Chairman’s Health Board’s Great Plains Tribal Epidemiology Center      | Cancer Survivor Group Leadership Trainings                                             | $93,500    |
|                                                                               |                                                                               | Total funding for additional tribal projects:                                          | $1,381,500 |

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Thank You!

For more information, contact CDC1-800-CDC-INFO (232-4636)TTY:  1-888-232-6348    www.cdc.govThe findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

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